MS. AMY LEIGH MCNAUGHTON CNP
NPI 1255475349
Nurse Practitioner - Family in Athens, OH

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
265 W UNION ST STE A, ATHENS, OH 45701(740) 594-2456 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Dec 29, 2020 (2 updates tracked since 2020).

About Ms. Amy Leigh Mcnaughton Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMY LEIGH MCNAUGHTON CNP (NPI 1255475349) is an individual family provider in Athens, Ohio, licensed in Ohio (NP-09232) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255475349
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. AMY LEIGH MCNAUGHTONCredential: CNP
Location Address265 W UNION ST STE AAthens, OH 45701-2313
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1255475349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · NP-09232
265 W UNION ST STE A, Athens, OH 45701

Other Identifiers 1

Medicaid2745131OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Amy Leigh Mcnaughton Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668579723
PECOS Enrollment IDI20070524000186
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
224 services191 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
56 services53 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
36 services32 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
36 services34 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims23 services$6.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$108.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
265 W UNION ST STE A
ATHENS, OH 45701
Nurse Practitioner (Family)
265 W UNION ST STE A
ATHENS, OH 45701
Physician Assistant (Medical)
265 W UNION ST STE A
ATHENS, OH 45701
Family Medicine
265 W UNION ST STE A
ATHENS, OH 45701
Nurse Practitioner (Family)
265 W UNION ST STE A
ATHENS, OH 45701
Family Medicine
265 W UNION ST STE A
ATHENS, OH 45701
Family Medicine
265 W UNION ST STE A
ATHENS, OH 45701
Family Medicine
265 W UNION ST STE A
ATHENS, OH 45701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Mcnaughton's NPI number?

The NPI number for Amy Mcnaughton is 1255475349. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Amy Mcnaughton located?

Amy Mcnaughton practices at 265 W Union St Ste A, Athens, OH 45701. The listed phone number is (740) 594-2456.

What is Amy Mcnaughton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Mcnaughton enrolled in Medicare?

Yes. Amy Mcnaughton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Mcnaughton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Amy Mcnaughton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Mcnaughton affiliated with any hospitals?

According to CMS data, Amy Mcnaughton is affiliated with Ohiohealth O'bleness Hospital.

When was this NPI record last updated?

The NPPES record for Amy Mcnaughton was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.